Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $59.68 / $99.37	Facility		$28.12	$59.68	$99.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $29.84 / $53.12	Professional		$24.69	$29.84	$53.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $52.12 / $85.64	Facility		$32.22	$52.12	$85.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $56.69	Professional		$29.84	$29.84	$56.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $29.84 / $50.73	Facility		$29.84	$29.84	$50.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $40.28	Professional		$29.84	$29.84	$40.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $28.15 / $29.84	Facility		$28.15	$28.15	$29.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $118.93	Professional		$29.84	$29.84	$118.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $29.84 / $30.68	Facility		$28.15	$29.84	$30.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $118.93	Professional		$29.84	$29.84	$118.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $34.22 / $41.77	Professional		$27.96	$34.22	$41.77
United Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $39.09	Professional		$29.84	$29.84	$39.09